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Let's Be Clear:Fentanyl

The Facts on Fentanyl

Fentanyl is a powerful synthetic opioid that’s causing a rise in overdose deaths across the country, including right here in South Dakota.

Originally developed for severe pain management, illicit fentanyl is now being mixed with other substances, often without the user’s knowledge. Its potency — up to 100 times stronger than morphine — makes even a tiny amount extremely dangerous. It’s highly addictive, incredibly strong and fast-acting when misused. What makes it even more fatal is that you can’t see, taste or smell it, making it impossible to detect without proper testing.


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Counterfeit Pills

It isn’t always clear which pills are legitimate and which ones aren’t. Fentanyl is often pressed into fake pills that look like real prescription drugs. Unfortunately, these counterfeit pills are becoming more common in South Dakota and could be laced with a deadly amount of fentanyl.

Beyond pills, fentanyl is also being mixed with other substances like heroin, cocaine and methamphetamine, making them even more dangerous. It can be found in other forms, too, including powders, nasal sprays and even eye drops.

Think You Can Spot the Fake?

Never trust your eyes alone to tell if a pill is legit or not. If it’s not prescribed for you from your doctor, it’s not safe.

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Let’s Be Clear:

7 out of every 10 pills seized by the DEA contain a lethal dose of fentanyl.

Overdose Information 

It’s easy to overdose on fentanyl. It hits fast and hard, often before you even realize what's happening. Many people may not even realize they have taken it due to counterfeit pills and laced substances. Signs of an overdose include:

  • Trouble breathing
  • Extreme drowsiness or unconsciousness
  • Limp body
  • Small, constricted “pinpoint pupils”
  • Unable to stay awake
  • Loss of consciousness
  • Slow or shallow breathing
  • Choking sounds or gurgling/snoring noises
  • Cold, clammy skin
  • Slow or no pulse
  • Pale, blue, or cold skin
  • Fingernails or lips turning blue/purple/grey
  • No response when you call the person’s name
  • No response when you rub the middle of their chest with your knuckles
  • No response when you rub the person’s upper lip
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If you see any of these signs, follow these instructions.

1. Call 911 Immediately
2. Follow Dispatch Instructions
3. Administer Naloxone
4. Try to Keep the Person Awake and Breathing
5. Lay the Person on Their Side to Prevent Choking
6. Stay with the Person Until Emergency Assistance Arrives

*South Dakota law protects a person who is overdosing and the person who called for help from legal trouble.

Safe Storage & Disposal 

If you have prescription medications at home, especially opioids, keep them locked in a secure place out of reach from anyone who shouldn't have them. When you're done with them, don't just toss them in the trash. Find a local drug take-back program or use a drug disposal packet to dispose of them safely.

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